MEDICARE: PARKER COUNTY HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1194598110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKER COUNTY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1130 PECAN DR
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-5774
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 PECAN DR
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-5775
Country	:	US
Telephone Number	:	817-458-3335
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RANDY BACUS
Credential	:
Telephone Number	:	817-341-2520

Provider Enumeration Date	:	11/01/2023
Last Update Date	:	11/25/2025

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Directions to “PARKER COUNTY HOSPITAL DISTRICT ” Practice Location

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